Lab 4 - Nose, Nasopharynx Flashcards
Which structure is labeled by #4?
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Soft palate
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Which structure is labeled by #8?
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Sphenoidal sinus
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Which vessel is labeled by #10?
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External carotid artery
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Which structure is labeled by #14?
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Sphenoid sinus
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Which structure is labeled by #2?
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Superior meatus
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Which structure is labeled by #7?
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Uvula
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Which numbers label middle sclalene muscles?
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2 and 8
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Which vessel is labeled by #3?
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Internal jugular vein
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Which sinuses drain to the middle meatus?
- Frontal sinus
- Anterior ethmoid sinus
- Maxillary sinus
Middle meatus is the heavy hitter - takes care of the sinus FAM
Which muscle is labeled by #13?
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Masseter
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Which structure is labeled by #4?
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Inferior nasal concha
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Which vessels are labeled by #1?
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External jugular vein
Common carotid artery
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Which muscle is labeled by #4?
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Sternocleidomastoid
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Which numbers label the posterior scalene muscles?
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4 and 7
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Which structure is labeled by #7?
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Epiglottis
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Which numbers label the anterior scalene?
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3 and 6
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Which nerves are labeled by #13?
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Medial and lateral posterior superior branches of the nasopalatine nerve
(Which is a branch of the maxillary nerve CN V2)
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Where does mucous from the frontal sinus drain?
Middle meatus
Which structures are labeled by #6?
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Lingual tonsils
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Which structure is labeled by #10?
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Pharyngeal tonsil
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Which structure is labeled by #8?
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Torsus tubarius
(Curves over the opening of the eustachian tube)
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Which vessel is labeled by #9?
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Internal carotid artery
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Which artery is labeled by #6?
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Posterior ethmoidal artery
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Which sinuses drain into the inferior meatus?
None - Nasolacrimal duct only
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Which nerve is labeled by #15?
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The nerve of the pterygopalatine canal
(Formed by the greater petrosal and deep petrosal nerves)
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Which muscle is labeled by #1?
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Longus captis
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Which nerve pierces the thyrohyoid membrane?
This would be between which two constrictor muscles of the neck?
What does it innervate?
Internal (recurrent) laryngeal nerve
- Between the middle and inferior constrictor
- Motor to the intrinsic laryngeal muscles (except cricothyroid)
- Visceral sensory to the larynx below the vocal cords
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Which space is labeled by #2?
Which nerves does it carry?
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Inferior orbital fissure
Transmits nerve branches from the maxillary nerve (CN V2)
- Infraorbital nerve (labeled #1)
- Zygomatic nerve (labeled #11)
- Orbital branches (labeled #10)
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Which nerve is labeled by #5?
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Pharyngeal nerve
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Which structure is labeled by #9?
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Choanae
Opening between the nasal cavity and the nasopharynx
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Which structure is labeled by #10?
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Aryepiglottic fold
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Which structure is labeled by #7?
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Opening of the eustachian tube into the nasopharynx
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Which nerves are labeled by #10?
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Orbital branches of the maxillary nerve CN V2
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Which vessel is labeled by #6?
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Common carotid artery
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Which muscle is labeled by #1?
What are its attachments?
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Superior pharyngeal constrictor
Pharyngeal tubercle (of the basilar part of the occipital), continues as the buccinator anteriorly
(Technically attaches to the pterygomandibular raphe, and then continues as the buccinator but this wasn’t really empasized)
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Which structure is labeled by #2?
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Nasal septum
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Which nerve enters the pharynx above the hyoid bone?
This is between which two constrictors of the neck?
What does it innerate?
Glossopharyngeal nerve (CN IX)
- Betwen the superior and middle constrictor
- Visceral sensory to the pharynx
- Initiates the gag reflex
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Which sinuses drain to the superior meatus?
- Posterior ethmoid
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Sphenoid
- To the spheno-ethmoidal recess, within the superior meatus?
Which fascia is labeled by #2?
Pretracheal fascia
Which structure is labeled by #12?
(Which structures are separated by this opening?)
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Faucial isthmus
Opening between the oral cavity and the oral pharynx
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Which nerve is labeled by #16?
What nerve fibers does it carry?
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Greater palatine nerve
- Sensory fibers from the maxillary nerve CN V2
- Parasympathetic and sympathetic fibers from the nerve of the pterygopalatine canal
- Parasympathetic from the greater petrosal nerve (From CN VII)
- Sympathetic from the deep petrosal nerve
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Which muscle is labeled by #11?
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Medial pterygoid
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Which nerve structure is labeled by #12?
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Superior cervical ganglion
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Which nerve is labeled by #3?
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Superior alveolar nerve
(Branch of CN V2)
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Which structure is labeled by #4?
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Maxilla
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Which artery supplies the top of the nasal cavity?
Anterior and posterior ethmoid
(From the opthalmic artery, which is from the internal carotid)
Which structure is labeled by #9?
(Where does this opening go?)
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Laryngeal inlet
(Opening into larynx)
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Which structure is labeled by #3?
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Nasal septum
(Made up of the perpendicular plate of the ethmoid, vomer, and septal cartilage)
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Which nerve is labeled by #12?
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Maxillary nerve, CN V2
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Which muscle is labeled by #3?
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Anterior scalene
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Which structure is labeled by #11?
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Clivus
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Which nerve is labeled by #1?
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Infraorbital branch of the maxillary nerve (CN V2)
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Which artery is labeled by #3?
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Descending palatine artery branch
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Which nerve is labeled by #4?
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Nasopalatine nerve
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Which nerve structure is labeled by #8?
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Pterygopalatine ganglion
Associated with CN VII and CN V2
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Which structure is labeled by #16?
(which structures are separated by this opening?)
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Choana
Nasal cavity opens into the nasopharynx
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Which structure is labeled by #3?
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Inferior nasal concha
(Aka inferior turbinate)
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Which sinuses drain into the superior meatus?
Posterior ethmoid air cells
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Which muscle is labeled by #14?
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Posterior belly of the digastric
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Which muscle is labeled by #5?
What are its anterior attachments?
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Inferior constrictor muscle
Thyroid and cricoid cartilages
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Which fascia is labeled by #4?
Prevertebral fascia
Which structure is labeled by #2?
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Frontal sinus
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Which sinuses drain to the inferior meatus?
None - just the nasolacrimal duct, which isn’t really a sinus
What is the terminal branch of the maxillary artery?
Sphenopalatine artery
Travels through the pterygopalatine fossa to supply the posterior nasal cavity
Recall - maxillary artery is a terminal branch of the external carotid artery
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Which muscle is labeled by #2?
What is its anterior attachment?
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Middle pharyngeal constrictor
Attaches to the hyoid bone anteriorly
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Which muscle is labeled by #4?
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Posterior scalene
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Which structure is labeled by #5?
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Nasal vestibule
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Which structure is labeled by #6?
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Inferior meatus
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Which structure is labeled by #5?
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Hard palate
Made up of the palatine process of the maxilla and the horizontal plate of the palatine
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Which artery supplies the pterygopalatine fossa?
Maxillary artery
(A branch of the external carotid artery)
Which structure is labeled by #1?
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Olfactory bulb
Neurons from here go through the ethmoid plate into the nasal cavity for smell
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Which nerve is labeled by #14?
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Medial and lateral posterior inferior nasal branches of the nasopalatine nerve
(Which is a branch of the maxillary nerve, CN V2)
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Which nerve is labeled by #11?
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Glossopharyngeal CN IX
- The smaller branch medially is the hypoglossal CN XII, labeled #13*
- The smaller branch that crosses the glossopharyngeal superior to the label is the spinal accessory CN XI, labeled #14*
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Which structure is labeled by #6?
(Bone and part)
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Dens of the axis (C2)
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Which muscle is labeled by #7?
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Posterior scalene
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Which nerve is labeled by #6?
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Deep petrosal nerve
Post-ganglionic sympathetic nerve that joins the greater petrosal nerve (from CN VII) to form the nerve of the pterygopalatine canal
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Which nerve is labeled by #13?
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Hypoglossal CN XII
(See the branch sneaking down below the mandible to innervate the tongue muscles)
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Which structures are labeled by #2?
(Artery and nerve)
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Anterior ethmoidal artery and nerve
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Which structure is labeled by #15?
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Stylohyoid
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Which space is labeled by #5?
Why is it significant?
Retropharyngeal space
Infection can spread here
Which structure is labeled by #17?
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Pharyngeal tonsil
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Which nerve is labeled by #7?
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Vagus nerve
(Sympathetic trunk is the big nerve branch medial to the vagus)
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Which nerve is labeled by #11?
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Zygomatic nerve (Branch of the maxillary nerve CN V2)
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Which nerve is labeled by #8?
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Sympathetic trunk
(Vagus nerve is the big nerve branch lateral to the sympathetic trunk)
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Which structure is labeled by #3?
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Middle meatus
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Which structure is labeled by #1?
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Middle nasal concha (aka turbinate)
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Which bone is labeled by #10?
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Atlas (C1)
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Which vessel is labeled by #5?
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Sphenopalatine artery
(branches)
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Which muscle is labeled by #9?
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Longus coli
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Which muscle is labeled by #2?
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Middle scalene
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Which nerve is labeled by #14?
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Spinal accessory nerve CN XI
(Kind of the same angle as levator scapulae)
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Which hole is labeled by #15?
In addition to this vessel, which nerves exit the skull here?
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Jugular foramen (aka jugular canal?)
- Glossopharyngeal (CN IX) - Labeled #11 here
- Vagus (CN X) - Labeled #7
- Spinal accessory (CN XI) - Labeled #14
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Which structure is labeled by #12?
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Dorsum sellae
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Which number labels the nasal septum?
Which structures make up the nasal septum?
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3
- Perpendicular plate of ethmoid
- Vomer
- Septal cartilage
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Which stucture is labeled by #1?
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Sphenoethmoidal recess
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Which number labels the hard palate?
Which structures make up the hard palate?
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5
- Palatine process of the maxilla
- Horizontal plate of the palatine
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Which nerve branches are labeled by #4?
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Lesser palatine nerve branches
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Which structure is labeled by #5?
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Palatopharyngeal fold
(aka palatopharyngeal arch??)
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Which nerve is labeled by #7?
Where does it come from?
What does it innervate?
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Greater petrosal nerve
- Branch of the facial nerve CN VII that joins the postganglionic sympathetic deep petrosal nerve to form the nerve of the pterygopalatine canal
- Innervates nasal and palatal mucosal glands (follows V2) as well as the lacrimal gland (follows zygomatic V2 branch to V1 lacrimal nerve)
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Which sinuses drain into the middle meatus?
- Frontal sinus
- Anterior ethmoid air cells
- Maxillary sinus
(Middle meatus drains the sinus FAM)
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Which structure is labeled by #1?
(Bone, part)
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Cribiform plate of the ethmoid bone
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Which structure is labeled by #13?
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Hypophyseal fossa
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Which muscle is labeled by #6?
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Anterior scalene
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Which structure is labeled by #8?
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Piriform recess
Food can get stuck here
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Which muscle is labeled by #8?
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Middle scalene
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